L G Steck Memorial Clinic P S

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

L G STECK MEMORIAL CLINIC P S

Practice address

305 Linhart Ave NE
Napavine, WA 98565

Phone

(360) 262-3990

Fax

(360) 262-0873

NPI assigned

Jun 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher L Bredeson

Title

Ceo

Phone

(360) 740-4001

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• NAPAVINE MEDICAL CLINIC Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8022/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin A Rice, PA-C

  • Physician Assistant
  • Napavine, WA
  • NPI 1316032030
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1083876130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "985650147",
            "telephone_number": "360-262-3990",
            "fax_number": "360-262-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LINHART AVE NE",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "98565",
            "telephone_number": "360-262-3990",
            "fax_number": "360-262-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L G STECK MEMORIAL CLINIC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "BREDESON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-740-4001"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7074131",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NAPAVINE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Health Clinic of Chiropractic PS
• Michael Foster, D.C.
• Kimberly Garcia, RN
• Sherri L Heilman, LMP
• Nathanael Ross Jackson, L.M.P.
• Lewis County
• Lewis County Autism Coalition
• Lewis County Fire District No 5
• Lewis County Pediatrics and Family Medicine
• Dustin Leon Lewis, D.C.

• Multi-Specialty Clinic/Center in Napavine, WA
• Providers in Napavine, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.